Individual
BENJAMIN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(510) 531-3111
(510) 530-8083
Mailing address
2501 7TH AVE, APT 5, OAKLAND, CA 94606-1505
(209) 204-0554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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